Laserfiche WebLink
PH$lurA1 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVIrA <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 1� _ � � f BY REVIEWED BY DATE ENTERED <br /> f <br /> ADDITION• 1J/EDIT• <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> NOR SENT O! . i LOC CODE Q 01ST �O PROGRAM/ELEMENT CODE 3 Z <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR ak 139000 SUBSTANCE IV1 $ObCv�f 2 <br /> SITE CODE ICf 3 d SOURCE OF FUNDS S / O FED EXEMPT Y / PETROLEL14 Y / N <br /> SITE NAME LQ � P��O DATE REPORTED �J D <br /> ADDRESS z(0 Q �0 f��! DATE CONFIRMED all 9 <br /> CITY }-�n ,�✓,�L_ C!-' 1��CA ZIP ���j��o MULTIPLE RP's (((Y / O <br /> 4 y llJ �/ } SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D / <br /> - 1 2 ( 3 4 5 6 7 8 <br /> RP SEARCH ( S J 1 N �fR DATE UNDERWAY �� Z�,c�� ! COMPLETED �. Z C, <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY i� � COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I CDATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN cy::� N ENFORCEMENT TYPE 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 2 3 H S C A R W G 0 <br /> r <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKENCD CB ED ET FP GT IT RS HU NA YS VE NT OT UK <br /> Primary / Additional RESPONSIBLE PARTY F r r� 1 igg4 <br /> 2a <br /> COMPANY NAME QA O L PHONE <br /> CONTACT S 1fQ iry) � e Z PHONE �,74- <br /> ADDRESS /I� r o� pjQ L,) 1 <br /> CITY T ,-n hD,-, STATE C�- ZIP <br /> Additional RP's listed On REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE / <br /> EH 23 083(09/89)REVISED 8/92 69-20(IV)01/90 PILMFA <br />